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DocuSign Envelope ID:7514D094-C724-420A-8848-E6072006DEC2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: lnflate-a-Party.Com 1NC Party/Vendor Contact Person: Jeff Kelly Contact Phone: 919.740.2429 <br /> Party/Vendor Address: 11781 US HWY 64 City Apex State: NC Zip: 27523 Department: DEAPR(Recreation Dept) <br /> Amount: $1046.43 Purpose: Bounce House-Halloween Spectacular Budget Code(s): 10511020630000 Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date September 28 2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to .eittu.WW gid content: <br /> aUttj, SfGwt,Ut 9/29/2017 <br /> Department Director's Signature 6116 A1P O7A495... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency '�xi '"oAtaandards,specifications,and requirements: <br /> a&&SA. Cbb 9/29/2017 <br /> Office of the Risk Management Officer ]FnrFQ,7Ci10MQR... Date: <br /> Financial Services <br /> This instrument has been pre-audited in,QfiafiffiTr4 quired by the Local Government Budget and Fiscal Control Act: <br /> ela40( AtVit iaosL 10/2/2017 <br /> Office of the Chief Financial Officer ' E516,AcC,„08 Date: <br /> Legal Services <br /> This agreement is approved as t eftrificleklid sufficiency: <br /> ,6LIAA. rblit,V'1S 10/2/2017 <br /> Office of the County Attorney Date: <br /> CAA3D33EDIIA0465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 DS <br />